First Presbyterian Church - One Adult Information Form
Form to gather information for Membership Database and for Church Directory
Section 1: Family Contact Information
It is only necessary to provide the Family Contact Information once.
If you have previously entered all of the Family Contact Information, you do not need to enter it again. Enter Adult Family Member Name(s) and any changes or updates, then go to Section 2, Your Profile Information
Adult family members name(s)?
Enter family name(s) such as Bill Smith or Rose Smith, Bill & Rose Smith or, if different last names, Rose Smith & Bill Jones.
Your answer
Family home address? (This is the physical address.)
Number, Street, Apt. number, City, State, ZIP code.
Your answer
Family PO Box number, if you have one?
PO Box number, City, State, ZIP code
Your answer
Would you prefer mail be sent to:
Which address would you like to have listed in the Church Directory?
Note: Church members who want to visit you will need your home address.
Home phone number (land line only)?
Please do not enter your cell phone number here.
Your answer
If you entered a home phone number above, would you like it listed in the Church Directory?
Family email address. if you have one?
Your answer
If you entered an email address above, would you like it listed in the Church Directory?
I/we would prefer to receive all mail from 1st Pres via:
Would you like to have a printed copy of the Fanfare news letter mailed to via the US Postal Service?
On our church web site, you may sign up to receive an electronic copy of the Fanfare thus saving paper and a stamp.
Section 2: Your Profile Information
Your first (given) name, middle name or initial, and last name?
Your answer
Your preferred name? If you have a preferred name you would like us to use in place of your given name, please enter it here.
Your answer
Your personal cell phone number, if you have one and want to share it?
Your answer
If you entered a cell phone number above, would you like to have it listed in the Church Directory?
Your personal email address, if you have one and want to share it?
Your answer
If you entered an email address above, would you like to have it listed in the Church Directory?
What is your marital status?
If you are currently married, what is your wedding date?
MM
/
DD
/
YYYY
Your maiden name? (If applicable.)
Your answer
Your date of birth?
MM
/
DD
/
YYYY
If you have been baptized, please enter your baptism date or approximate date.
MM
/
DD
/
YYYY
Your parent's name or names? (If living.)
Your answer
Your emergency contact first and last name, relationship, and phone number?
There may be more than one emergency contact. Please list the primary contact first.
Your answer
If you are joining 1st Pres., how are you joining?
If you are transferring membership, enter name and address of church you are tranferring from.
Your answer
How do you see yourself participating in the life of 1st Pres.?
Examples: Sunday school teacher, usher, choir member, deacon, office volunteer, coffee hour host, etc.
Your answer
Submit form.
Carefully check the information you entered above, make changes as necessary, then click the SUBMIT button.
Submit
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